Functional Program Analyst 3: HCBM Analyst
As an HCBM Analyst, you will review contract filings submitted by health carriers, Health Care Benefit Managers (HCBMs), providers, pharmacies, and Pharmacy Services Administrative Organizations (PSAOs). Your work helps ensure these agreements are accurate, compliant, and aligned with regulatory expectations. You will analyze contract language, identify issues, and provide clear written findings that support consistent oversight across the marketplace. You will also conduct research and offer subject matter guidance to carriers, HCBMs, agents, attorneys, and consumers. This includes discussing contract provisions, interpreting case law, and helping resolve questions or concerns that arise during the review process. This role is a strong fit for someone who enjoys detailed analytical work, communicates clearly about complex topics, and values contributing to fair and transparent practices across the healthcare system.
Rates, Forms, and Provider Network team members are required to be in-office (4) days a week for the first 30 days of employment, (3) days in-office for days 31-90, and then (2) days from then on.
This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days.
